Campership

Campership Application

*Please note additional documentation maybe required for an application to be considered complete, number of awards are based on funding. *Applications are due by June 9th.
1st Parent/Guardian's Full Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
2nd Parent/Guardian's Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of household members*
Campers*
Would you like to be contacted in the fall about participating in our "Back to School" program?*

YesNo
Have you applied for a fee waiver in the current fiscal year (July 1st and June 30th)?*

YesNo
Please note: Verification of an approved current fee waiver will be verified. If additional information or backup documentation is needed you will be contacted by staff.
Signature

Clear
Should be Empty:

Campership Application